| Entity Name: | SOLARUS PAIN AND ANESTHESIA SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 20 Oct 2010 (14 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L10000109301 |
| FEI/EIN Number | 273721050 |
| Address: | 1749 NE 26th st, Wilton Manors, FL, 33305, US |
| Mail Address: | 12240 NW 28TH CT, SUNRISE, FL, 33323 |
| ZIP code: | 33305 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750635090 | 2012-11-08 | 2013-02-07 | 12240 NW 28TH CT, SUNRISE, FL, 333231717, US | 1749 NE 26TH ST, SUITE E, WILTON MANORS, FL, 333051428, US | |||||||||||||||||||||||||
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| Phone | +1 954-218-0180 |
| Fax | 9543068844 |
Authorized person
| Name | DR. WILLIAM ALEX MCCLAIN II |
| Role | MEDICAL DIRECTOR |
| Phone | 9542180180 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | ME 107651 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004333000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCCLAIN WILLIAM D | Agent | 12240 NW 28TH CT, SUNRISE, FL, 33323 |
| Name | Role | Address |
|---|---|---|
| MCCLAIN WILLIAM | Manager | 12240 NW 28TH CT, SUNRISE, FL, 33323 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000118268 | SOLARUS HEALTH, REJUVENATION, AND SPINE CENTER | EXPIRED | 2012-12-09 | 2017-12-31 | No data | 12240 NW 28TH CT, SUNRISE, FL, 33323 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-01-15 | 1749 NE 26th st, Suite E, Wilton Manors, FL 33305 | No data |
| REINSTATEMENT | 2012-11-03 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2012-11-03 | 1749 NE 26th st, Suite E, Wilton Manors, FL 33305 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-11-03 | 12240 NW 28TH CT, SUNRISE, FL 33323 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J16000027817 | LAPSED | CACE-15-008112 | BROWARD COUNTY CIRCUIT COURT | 2015-12-10 | 2021-01-20 | $22,261.14 | GROUP ONE HEALTHSOURCE, INC., BIN #141974, INDIANAPOLIS, IN 46206 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-03-10 |
| ANNUAL REPORT | 2014-02-25 |
| ANNUAL REPORT | 2013-01-15 |
| REINSTATEMENT | 2012-11-03 |
| Florida Limited Liability | 2010-10-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
